Mark Leyner - Why Do Men Have Nipples? Hundreds of Questions You'd Only Ask a Doctor After Your Third Martini

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Is There a Doctor in the House?
Say you’re at a party. You’ve had a martini or three, and you mingle through the crowd, wondering how long you need to stay before going out for pizza. Suddenly you’re introduced to someone new, Dr. Nice Tomeetya. You forget the pizza. Now is the perfect time to bring up all those strange questions you’d like to ask during an office visit with your own doctor but haven’t had the guts (or more likely the time) to do so. You’re filled with liquid courage. . now is your chance! If you’ve ever wanted to ask a doctor. .
•How do people in wheelchairs have sex?
•Why do I get a killer headache when I suck down my milkshake too fast?
•Can I lose my contact lens inside my head forever?
•Why does asparagus make my pee smell?
•Why do old people grow hair on their ears?
•Is the old adage “beer before liquor, never sicker, liquor before beer. .” really true?
. . then
is the book for you.
Compiled by Billy Goldberg, an emergency medicine physician, and Mark Leyner, bestselling author and well-known satirist,
offers real factual and really funny answers to some of the big questions about the oddities of our bodies.

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It was originally thought that wearing tight underwear could lead to infertility in men as it may raise testes temperature to a point where it interferes with sperm production.

In 1998 in The Journal of Urology, Drs. Robert Munkelwitz and Bruce R. Gilbert analyzed semen samples from ninety-seven men with fertility problems. Half of them wore briefs, the other half wore boxers. The researchers measured the men’s scrotal, internal, and skin temperatures, both while the men were wearing underwear and again when they were going commando. They found no significant differences between the two groups of men in scrotal temperature, sperm count, sperm concentration, or sperm motility.

The purpose of the scrotum is to maintain the testes at a temperature of approximately five degrees less than the rest of the body (about 93.6 degrees F). It appears as though the scrotum does its work whether you are in boxers, briefs, or free ballin’.

So you can make your own fashion choice and your sperm won’t know the difference.

IS THERE REALLY A G-SPOT?

An article in the American Journal of Obstetrics and Gynecology in 2001 called the G-spot a sort of gynecologic UFO. Well, the authors of that article may want to start readying themselves for space travel. That is, after they read this paper from Cairo University: “The Electrovaginogram: Study of the Vaginal Electric Activity and Its Role in the Sexual Act and Disorders.” In this paper, the authors investigated the hypothesis that the vagina generates electric waves, which affect vaginal contraction during penile thrusting. They found electric waves could be recorded from the vagina. They also postulated that there was a vaginal pacemaker that seems to represent the G-spot, which is claimed to be a small area of erotic sensitivity in the vagina.

So what is this vaginal Loch Ness Monster?

The G-spot is simply a small area located on the upper wall of the vagina, toward the belly, about two to three inches from the vaginal opening. The G-spot was named in honor of Ernst Grafenberg, a German physician who, in the 1950s, wrote an article that mentioned an erotic zone on the anterior wall of the vagina that would swell during sexual stimulation.

There are various opinions on the best way to find the G-spot. Some women say that being on top during intercourse works best. Others swear by rear-entry as the best way to hit the G-spot. Some even say that because of its location, a shorter, smaller penis may actually be more effective at reaching the G-spot. A clue to its location may be that some women feel a sudden urge to urinate when their G-spot is touched — not surprising since the G-spot is located right near the urethra.

DO KEGEL EXERCISES REALLY WORK?

For those of you who have never heard of Kegel exercises, don’t expect to see a class offered at your gym.

Kegel exercises were originally developed as a method of controlling incontinence in women following childbirth. They’re named after Arnold Kegel, the Los Angeles doctor who promoted their development in the 1940s. The principle behind Kegel exercises is to strengthen the muscles of the pelvic floor, or the pubococcygeus muscles. These muscles run from the back to the front of your pubic bone and encircle the openings of the vagina and rectum. Strengthening them helps improve the urethra and rectal sphincter function.

These exercises are recommended for women with urinary stress incontinence, but many others do Kegel exercises for more fun reasons.

Advocates believe that there are several benefits for a woman who exercises her vagina. They claim that it makes it easier for her to reach orgasm, makes orgasms stronger or better, and makes the vagina more sensitive.

CAN HOT TUBS MAKE YOU INFERTILE?

Heat is damaging to the sperm, and theoretically can affect male fertility to a certain extent. But, there is no clear scientific evidence that implicates hot tubs. There may be a temporary reduction in sperm function after a soak, and prolonged repetitive use could cause problems, but none severe enough to avoid the occasional dip.

Saunas do not appear to influence fertility either. A few studies have reported decreased sperm count or decreased sperm movement after sauna use, but in Finland, where saunas are most common, men have high sperm counts and no apparent fertility issues.

DO MEN NEED SEX MORE OFTEN THAN WOMEN?

Men are often told that they have sex on the brain, and it appears as though this may be true.

In one recent study in Nature Neuroscience, a team of researchers had twenty-eight men and women look at erotic photographs while an MRI took scans of their brain. The subjects looked at arousing photographs of heterosexual couples engaged in sexual activity, sexually attractive nudes of the opposite sex, and at pictures of men and women in nonsexual situations. When analyzing the MRI results, researchers found that two areas of the brain, the amygdala and the hypothalamus, were more activated in men than in women when viewing identical sexual stimuli.

So, do men have sex on the brain? Of course, and do bears shit in the woods?

We really didn’t need a team of researchers to answer this one.

CAN A MAN EVER RUN OUT OF SPERM?

What a nightmare. The well running dry. Could it be possible?

The answer is no, but there is some bad news.

A woman is born with all the eggs she will ever have, but a man’s supply of sperm is renewed throughout his life. This sounds great, but researchers have found that men over thirty-five have more abnormalities in sperm movement and sperm with more seriously damaged DNA than younger men. It also has been found that over time, average sperm counts have been decreasing. The World Health Organization guidelines say a normal sperm count consists of twenty million sperm per ejaculate, with 50 percent motility and 60 percent normal morphology. This is different than twenty-five years ago when the normal count was near one hundred million.

ARE THERE ANY SPECIFIC THINGS THAT AFFECT THE SCENT OF A WOMAN?

My wife’s “friend” once told her that eating pineapple made you smell good “down there.” The friend had heard this from a call girl. It doesn’t get more evidence based than that.

There is, however, no scientific research on this sensitive subject. People do believe that you are what you eat, so what you ingest, ladies, can affect the smell and taste of your womanly secretions. Foods that are often mentioned as having the potential to cause problems “down there” are asparagus, garlic, and curry.

CAN A WOMAN EJACULATE?

There have been many claims about female ejaculation, but this was always dismissed as urination during intercourse. More recent evidence has found that higher levels of a compound, prostatic acid phosphatase, has been found in patients who claim to have female ejaculation. This compound is also found in high levels in male ejaculate and originates in the prostate.

Researchers have taken an anatomic approach to the issue of prostatelike components in female ejaculate. They believe that if women ejaculate a fluid that is not urine, then it must be coming from someplace other than the bladder. The most likely source was thought to be the female paraurethral glands or Skene’s glands.

Autopsy tests of Skene’s glands have found substances identical to those found in the prostate. Some experts now call these glands the female prostate. So, it seems highly likely that some women can, in fact, ejaculate, but causing that to happen may be as tough as finding the G-spot.

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